| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,570 |
4,160 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,870 |
2,674 |
$281K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,070 |
1,012 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,063 |
1,024 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
533 |
517 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,259 |
793 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
554 |
512 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
675 |
615 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
157 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
731 |
702 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
81 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
218 |
212 |
$9K |
| 99173 |
|
1,508 |
1,446 |
$7K |
| 90670 |
|
732 |
694 |
$6K |
| 90723 |
|
581 |
549 |
$5K |
| 90647 |
|
513 |
498 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
66 |
$5K |
| 90680 |
|
430 |
419 |
$4K |
| 90633 |
|
273 |
262 |
$3K |
| 90671 |
|
131 |
130 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
83 |
$2K |
| 96161 |
|
630 |
599 |
$2K |
| 90686 |
|
216 |
203 |
$2K |
| D1206 |
Topical application of fluoride varnish |
74 |
69 |
$1K |
| 0001A |
|
35 |
32 |
$1K |
| 96127 |
|
406 |
390 |
$1K |
| 87807 |
|
112 |
106 |
$1K |
| 90688 |
|
60 |
58 |
$1K |
| 0002A |
|
22 |
22 |
$880.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$820.26 |
| D0145 |
Oral evaluation for a patient under three years of age |
56 |
53 |
$807.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
78 |
$720.00 |
| 90651 |
|
32 |
30 |
$428.22 |
| 90700 |
|
53 |
52 |
$416.00 |
| 36416 |
|
180 |
170 |
$400.00 |
| 99000 |
|
78 |
74 |
$206.50 |
| 90710 |
|
12 |
12 |
$202.11 |
| 85018 |
|
16 |
15 |
$3.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
31 |
$0.00 |